Jain, Supriya

Jain, Supriya is an individual health care provider with primary practice located at 3023 Hamaker Ct Ste 300 , Fairfax VA 22031-2240. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology. Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology is her primary health care specialty. Jain, Supriya can be contacted via phone (703) 876-2788.

Contact Information

Primary practice address
3023 Hamaker Ct Ste 300 Fairfax VA 22031-2240
Phone: (703) 876-2788
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X 0101264109 Virginia

Profile Details

NPI number 1528300910
LBN Legal business name Jain, Supriya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2013
Last updated Aug 29th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528300910 NPPES
Virginia MEDICAID PENDING

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